ONE LIFE YOUTH AND FAMILY SERVICES LLC (NPI# 1992122113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992122113 |
| Entity Type | Organization |
| Organization Name | ONE LIFE YOUTH AND FAMILY SERVICES LLC |
| Practice Address |
2676 W Main St Rock Hill SC 29732-8910 |
| Mailing Address |
7303 Shiras Ct Charlotte NC 28273-9606 |
| Practice Telephone | 7043452032 |
| Mailing Telephone | 9803337411 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-12-01 |
| Authorized Official Name | MR. WAYNE LEVONNE BURCH SR. (CFO) |
| Authorized Official Telephone | 7043452032 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
2676 W MAIN ST |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-8910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730533282 | Empower | Community/Behavioral Health | 2676 W Main St, Rock Hill, SC 29732-8910 | 2016-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811922 | Sonni Parks | Counselor | 236 Northpark Dr, Rock Hill, SC 29730-4293 | 2020-08-12 |
| 1063064806 | Ashley P Elkins | Counselor | 223 E Main St # 304, Rock Hill, SC 29730-4571 | 2019-07-11 |
| 1760976773 | Jordache Williams | Counselor | 223 E Main St Ste 304, Rock Hill, SC 29730-4571 | 2018-06-22 |
| 1821441106 | Psychological Management Services | Counselor | 2424 India Hook, Suite 100, Rock Hill, SC 29732 | 2016-07-21 |
| 1578912028 | Journeys of Life Therapeutic Resources,llc | Counselor | 2025 Ebenezer Rd Ste G, Rock Hill, SC 29732-1069 | 2016-06-06 |
| 1932589439 | Jacquelyn Grier | Counselor | 1721 Ebenezer Rd Ste 215, Rock Hill, SC 29732-1119 | 2015-06-01 |
| 1265875355 | Shandra R Hall | Counselor | 2106 Celanese Rd, Rock Hill, SC 29732-1306 | 2013-04-09 |
| 1558689273 | Suzanne D Cormier | Counselor | 454 Anderson Rd S Ste 309, Rock Hill, SC 29730-3392 | 2010-05-05 |
| 1528247491 | Elizabeth Jane Burdick | Counselor | 250 Piedmont Boulevard, Rock Hill, SC 29732 | 2007-10-29 |
| 1578772976 | Family Medicine & Psychiatry of The Carolinas At Rock Hill PC | Counselor | 1420 Ebenezer Rd, Suite 105, Rock Hill, SC 29732-2743 | 2007-05-22 |
| Find all providers in ROCK HILL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.